Search for: "Medicare, Medicaid & Medical Suppliers"
Results 261 - 280
of 468
Sort by Relevance
|
Sort by Date
31 Dec 2015, 1:11 pm
Centers for Medicare and Medicaid Services (CMS) issued a Final Rule earlier this week, which created prior authorization rules applicable to particular durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
9 Dec 2015, 12:12 pm
In fiscal year 2014, the Centers for Medicare & Medicaid Services (CMS), conducted audits of more than one billion claims in an effort to curb approximately $60 billion in improper Medicare payments. [read post]
13 Nov 2015, 11:17 am
Related Blog Posts Blow the Whistle on Medicare or Medicaid Fraud Merck Agrees to Pay $100 Million in NuvaRing Settlement The post South Carolina-Based Healthcare System Resolves False Claims Act Case with Feds After $237 Million Verdict appeared first on South Carolina Personal Injury Law Blog. [read post]
3 Nov 2015, 11:40 am
The newest additions to the work plan are: • Medical device credits for replaced medical devices • Medicare payments during Medicare Severity Diagnosis Related Groups (MS-DRG) payment window • Content Management System (CMS) validation of hospital-submitted quality reporting data • Skilled nursing facility prospective payment system requirements • Orthotic braces-reasonableness of Medicare payments compared to amounts paid by… [read post]
30 Oct 2015, 6:31 pm
That scheme involved 27 medical professionals, including 15 doctors. [read post]
30 Oct 2015, 1:02 pm
The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) have finalized a rule designed to “remove legal and regulatory barriers that can impede care coordination in furtherance of the Shared Savings Program” and “reduce burden on ACOs, ACO participants, and ACO providers/suppliers. [read post]
21 Oct 2015, 11:17 am
Related Blog Posts Blow the Whistle on Medicare or Medicaid Fraud Merck Agrees to Pay $100 Million in NuvaRing Settlement The post South Carolina-Based Healthcare System Resolves False Claims Act Case with Feds After $237 Million Verdict appeared first on South Carolina Personal Injury Law Blog. [read post]
15 Sep 2015, 5:37 am
Self-insured group health plan sponsors and fiduciaries, health insurance issuers, third party administrators (TPAs) and administrative services-only (ASO) contractors who may participate in helping contributing entities submit reinsurance contributions required by the Patient Protection & Affordable Care Act (ACA) should consider participating one of the “Module 3: 2015 Reinsurance Contributions: Form Completion, Submission, and Payment” training model that the Centers for… [read post]
15 Sep 2015, 4:42 am
Associations, Consumer Operated and Oriented Plan (CO-OP) Programs, Stand Alone Dental Plans, Federally-faciliated Marketplace (FFM) Issuers, State Based Marketplaces, SBM Issuers, and Small Business Health Options Program (SHOP) issuers should review the Centers for Medicare & Medicaid Services (CMS) Payment Policy & Financial update on CMS’ policies regarding the administration of the enrollment and payment data reporting requirements of the Patient Protection &… [read post]
25 Aug 2015, 1:18 pm
On July 29, 2015 the Centers for Medicare & Medicaid Services ("CMS") announced that it is extending the temporary moratoria on the enrollment of new home health agencies, subunits, and branch locations ("HHA") and part B ambulance suppliers for an additional six months. [read post]
20 Jul 2015, 9:07 am
It's been almost a year since my last series of posts on the fallout from Hobby Lobby--in particular, on the challenges by nonprofit organizations to the government's augmented religious accommodation. [read post]
30 Jun 2015, 1:25 pm
Recently, on June 1, the Center for Medicare & Medicaid Services (CMS) published its long anticipated Medicaid managed care proposed rules. [read post]
15 Jun 2015, 1:57 pm
Separately, the OIG’s mid-year update to its FY 2015 work plan adds a new financial review project directed at the Center for Medicare & Medicaid Services’ (CMS) Open Payments Program (sometimes called the “Sunshine Act” provisions). [read post]
21 May 2015, 10:58 am
Code § 3729 Medically Necessary Services A recent publication of the Centers for Medicare and Medicaid Services explains that Medicare-covered services generally are those considered medically reasonable and necessary to the overall diagnosis or treatment of the patient’s condition or to improve a malforming body function. [read post]
16 Apr 2015, 2:42 pm
This Client Alert summarizes the major Medicare and Medicaid provisions of MACRA, focusing on those provisions we believe to be of most interest to our clients. [read post]
26 Mar 2015, 12:30 pm
House of Representatives approved a major Medicare package, the Medicare Access and CHIP Reauthorization Act (MACRA), which would reform Medicare reimbursement policy for physician fee schedule services and adopt a series of policy changes affecting a wide range of providers and suppliers. [read post]
12 Feb 2015, 1:07 pm
The latest report highlights five areas of particular concern to the GAO: Payments and provider incentives in original Medicare (specifically referencing physician feedback reports, physician self-referral policy, high-expenditure Part B drugs, end stage renal disease (ESRD) bundled payments, and low-volume payment adjustments for dialysis facilities); Medicare Advantage (MA) and other Medicare health plans (including concerns about MA plan payment adjustments… [read post]
6 Feb 2015, 1:00 pm
The partnership between the two departments has focused efforts to reduce and prevent Medicare and Medicaid financial fraud through enhanced cooperation. [read post]
3 Feb 2015, 5:36 am
CMS has extended its moratoria on enrollment of home health agencies and ambulance suppliers in designated areas, and the Agency has announced its intention to issue regulations to modify the Medicare and Medicaid Electronic Health Record Incentive Program meaningful use requirements. [read post]
